Healthcare Provider Details

I. General information

NPI: 1427922822
Provider Name (Legal Business Name): ECUSTA COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

766 N MAIN ST
HENDERSONVILLE NC
28792-5078
US

IV. Provider business mailing address

PO BOX 2272
HENDERSONVILLE NC
28793-2272
US

V. Phone/Fax

Practice location:
  • Phone: 828-656-3770
  • Fax: 828-692-7710
Mailing address:
  • Phone: 828-656-3770
  • Fax: 828-692-7710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENA GRACE DAVIS
Title or Position: SOLE MEMBER
Credential: LCMHC
Phone: 828-656-3770